Anesthetic implication of tricuspid valve replacement in a patient with acute intermittent porphyria.

Facing a patient with acute intermittent porphyria (AIP), there is narrow safety margin which circumscribe all the therapeutic actions including choice of drugs. This would become even more complicated when it comes to a stressful and drug‑dependent process like a cardiopulmonary bypass. According to author’s researches, no specific AIP case of tricuspid valve (TV) replacement is reported recently. Furthermore, fast‑track anesthesia was safely used in this 37‑year‑old male known the case of AIP, who was a candidate for TV replacement and removing the port catheter. The patient was extubated subsequently, only 3 h after entering the Intensive Care Unit.